Organization Active NPI

Ahmad Ali Millwala DMD Oral and Maxillofacial Surgery Co

  • Oral and Maxillofacial Surgery (Dentist)
  • Beavercreek, OH
National Provider Identifier
1285041186
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
023877 Issued in OH
Legal business name
AHMAD ALI MILLWALA DMD ORAL AND MAXILLOFACIAL SURGERY CO
Practice address
2846 Double Eagle Dr
Beavercreek, OH 45431-4709
Phone
(773) 732-8288
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ahmad A Millwala, DMD
Title
President
Phone
(773) 732-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 023877 OH Primary

Addresses

Primary practice location

2846 Double Eagle Dr
Beavercreek, OH 45431-4709

Mailing address

2846 Double Eagle Dr
Beavercreek, OH 45431-4709
Phone (773) 732-8288

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1285041186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 DOUBLE EAGLE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314709",
            "telephone_number": "773-732-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 DOUBLE EAGLE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314709",
            "telephone_number": "773-732-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD ALI MILLWALA DMD ORAL AND MAXILLOFACIAL SURGERY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "MILLWALA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-732-8288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "023877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.